Provider Demographics
NPI:1992311864
Name:UNIQUE TRANSPORTATION LLC
Entity type:Organization
Organization Name:UNIQUE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KWAKU
Authorized Official - Middle Name:
Authorized Official - Last Name:AGYEKUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-326-1838
Mailing Address - Street 1:4316 BENNINGTON CREEK LN
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9087
Mailing Address - Country:US
Mailing Address - Phone:646-326-1838
Mailing Address - Fax:
Practice Address - Street 1:1395 E DUBLIN GRANVILLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3313
Practice Address - Country:US
Practice Address - Phone:646-326-1838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance